Billing Supervisor

Pediatric Home Service is a friendly and professional leader in home health care with a singular passion for and commitment to taking care of the child. As a leader in home health care, we help kids achieve their best lives at home and in their communities while providing our employees a fun and rewarding place to work. We are looking for a full-time Medical Lead Billing Specialist to join our customer-focused, supportive billing team.

• Position: Billing Supervisor
• Location: Remote, in a serviceable area
• Hours: Monday-Friday, 8a-5p
  • Fully remote

THE POSITION:

We are seeking a highly organized and detail-oriented Billing Supervisor to oversee and coordinate patient account and reimbursement services within our billing department. This is a full-time, regular position where you will play a critical role in ensuring billing accuracy, resolving issues, and providing leadership to a dedicated team.

• Manage ready-to-bill and electronic claim files in the order and billing systems.
• Update new products and product codes.
• Audit invoices in order and billing systems and oversee lost patient resolution.
• Review and resolve CESR's when appropriate.
• Maintain and update insurance company records.
• Review adjustment requests and resolve specific patient issues.
• Maintain and develop work instructions as needed.
• Conduct and report audits to ensure quality and compliance.
• Supervise assigned staff in accordance with the organization’s policies and applicable laws.
• Responsibilities include interviewing, hiring, training, planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
• Organize and complete departmental, payer, and special projects.
• Act as a "Floating" Biller to assist with backlog by transitioning between payers.
• Provide daily procedural direction and problem resolution to billing staff, including training as needed.
• Supervise and support the billing staff, conducting performance evaluations and assigning work to ensure proper coverage.
• Oversee patient charge posting, billing, and collection operations, ensuring consistent implementation of policies and procedures.

REQUIREMENTS:

• Bachelor's degree (B.A.) from a four-year college or university, or one to two years of related experience and/or training; or an equivalent combination of education and experience
• High attention to detail and demonstrated initiative
• Ability to problem solve and work independently
• Technical skills, including experience with Microsoft Excel
• Previous medical billing experience preferred
• Bright tree experience preferred
• Knowledge of medical coding is a plus.

THE COMPANY:

Pediatric Home Service is a pediatric home health agency that has provided high quality DME and nursing services to children that are medically fragile since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are age’s birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube.

BENEFITS:

• Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
• 401(k) Matching to help secure your future
• Tuition Reimbursement to support your educational and professional growth
• Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
• A supportive and fulfilling work environment where your contributions directly impact children’s health and well-being

We look forward to learning more about you & the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.